RxDoctor Payments Data

HCPCS G0482

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms

$193.45Medicare-allowed amount per service, averaged across 489,866 services
Providers submitted
$509.20

Asking price, not received

Medicare allowed
$193.45

The fee schedule figure

Medicare paid
$193.45

Balance is patient coinsurance

Providers submitted an average of $509.20 for this code and Medicare allowed $193.452.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $193.45 (100%); the rest is the patient’s coinsurance and deductible.

Services
489,866

Medicare Part B, 2024

Beneficiaries
268,354
Providers billing it
1,428
Total allowed
$94,764,578

Services × allowed amount

What Medicare pays for HCPCS G0482

Across 489,866 services billed by 1,428 providers to 268,354 beneficiaries, Medicare allowed an average of $193.45 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills G0482

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory312,887172,292$193.78208
Nurse Practitioner44,08623,186$192.70396
Anesthesiology32,45517,031$193.52164
Pain Management30,29417,706$193.14170
Interventional Pain Management25,95713,919$192.60133
Physician Assistant18,27810,285$192.95194
Physical Medicine and Rehabilitation14,0257,820$192.56101
Family Practice3,8031,693$190.5316
Emergency Medicine1,309867$191.845
Neurology1,249779$193.375
Internal Medicine1,196568$191.679
Pathology876523$192.122
Opioid Treatment Program855207$193.071
Pediatric Medicine547280$188.561
Addiction Medicine546342$194.004

G0482 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
California92,381$194.30$194.7732
Tennessee92,335$194.02$194.7781
Texas55,782$192.03$194.77257
Florida26,658$194.23$194.77167
Oklahoma23,184$193.45$194.7755
North Carolina22,160$193.90$194.77111
New Jersey17,756$194.68$194.7736
Arkansas16,460$192.45$194.7769
Michigan14,855$194.58$194.7734
Georgia13,217$194.08$194.7765
Kentucky12,567$194.61$194.7735
Arizona12,331$193.67$194.7753
Maryland10,546$194.33$194.7771
Ohio8,363$192.37$194.7735
Pennsylvania7,516$194.22$194.7726
Washington7,123$192.61$194.7743
New York6,469$194.37$194.7718
Alabama5,382$180.00$194.7713
Nevada4,209$194.07$194.7714
Illinois3,891$194.49$194.728
South Carolina3,812$194.47$194.773
Indiana3,790$194.28$194.7715
Virginia3,438$190.90$194.7713
Mississippi2,974$193.81$194.7715
Colorado2,564$188.53$194.779
Utah2,547$171.49$194.7721
North Dakota2,543$194.77$194.771
Minnesota2,412$192.88$194.7727
New Mexico2,342$194.24$194.777
Massachusetts1,765$192.62$194.7717
Oregon1,371$192.94$194.7718
Delaware1,305$194.63$194.779
Idaho1,253$193.48$194.7710
Missouri961$191.33$194.777
Louisiana957$193.88$194.779
West Virginia689$188.61$194.773
Alaska425$192.57$194.773
Rhode Island405$194.77$194.772
Hawaii322$193.06$194.771
Connecticut233$194.77$194.775
Montana191$194.77$194.771
Wisconsin165$194.77$194.772
District of Columbia86$192.81$194.772
Kansas80$192.19$194.773
New Hampshire51$194.77$194.772

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.